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===Features that may suggest bronchiectasis in a patient presenting with chronic respiratory symptoms===
===Features that may suggest bronchiectasis in a patient presenting with chronic respiratory symptoms===


*Digital clubbing  
*[[Digital clubbing]]
*Lack of a significant  smoking  history if you suspect a patient has COPD
*Lack of a significant  smoking  history if you suspect a patient has COPD
*History of recurrent and/or severe pneumonia or tuberculosis
*History of recurrent and/or severe [[pneumonia]] or [[tuberculosis]]
*Presence of Aspergillus, atypical/nontuberculous mycobacteria, Pseudomonas aeruginosa, Escherichia coli, Klebsiella pneumoniae in the sputum
*Presence of [[Aspergillus]], atypical/nontuberculous mycobacteria, [[Pseudomonas aeruginosa]], [[Escherichia coli]], [[Klebsiella pneumoniae]] in the sputum
*If the childhood is associated with significant environmental and social disadvantage
*If the childhood is associated with significant environmental and social disadvantage



Revision as of 12:46, 25 June 2015

Bronchiectasis Microchapters

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Overview

Bronchiectasis Differential Diagnosis

  • Diminished breath sounds in COPD are not found in bronchiectasis
  • Chest CT will be normal or show emphysema is patients with COPD
  • Crackles found in bronchiectasis will not be found in asthma
  • Airflow obstruction is reversible in asthma
  • Patients with pneumonia will express symptoms for a short duration of 7-10 days, whereas patients with bronchiectasis express symptoms for years
  • Patients with pneumonia have bronchial breath sounds on auscultation
  • Consolidation is seen on chest x-ray and chest CT in patients with pneumonia
  • Crackles found in bronchiectasis will not be found in chronic sinusitis
  • Chest x-ray and chest CT are normal in chronic sinusitis

Features that may suggest bronchiectasis in a patient presenting with chronic respiratory symptoms


References

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